If you request an evaluation for CCI/AAI, investigation of Chiari/ectopic tonsil descent is included. If you suspect Chiari and have CCI symptoms, we recommend that you undergo the same imaging as for craniocervical instability.
Chiari is a condition where the hindbrain descends into the fossa space of the back of the skull and into the spinal canal. Chiari is diagnosed when tonsil decent prevents proper flow of CSF fluid. Patients with connective tissue disorders often have significant tonsil decent but this doesn’t always warrant a Chiari diagnosis.
An upright MRI of the brain is preferable but a supine brain MRI may also be used.
Please find a list of upright MRI clinics HERE
Surgery should always be the last option. However if symptoms significantly affect quality of life, a surgical option could be considered. Posterior Fossa decompression is a surgical procedure that removes a section of the bottom of the skull to allow more room for the tonsils.
Please contact us using the form here below and we will provide you with a link for you to upload your imaging to us. Once all scans are correctly completed and uploaded, you may then schedule a Zoom or face-to-face consultation with Dr Gilete to review his findings, ask questions, and discuss further treatment options. Prior to the consultation, you will receive a set of comprehensive questionnaires from which we will gather your personal information, your clinical history, and symptomology. You have the option to request a report from the visit.
Please use the form here below to contact us and we will get back to you as soon as possible:
I would like to request an evaluation from Dr Gilete regarding:
